Treatment of chronic maxillary sinusitis in children

doi:10.1016/0165-5876(88)90082-1

International Journal of Pediatric Otorhinolaryngology

Volume 15, Issue 3, September 1988, Pages 269-278

https://doi.org/10.1016/0165-5876(88)90082-1 Get rights and content

Abstract

In the present study 141 children aged between 3 and 10 years and suffering from chronic maxillary sinusitis were treated non-selectively in one of 4 ways: amoxicillin combined with decongestive nose drops, drainage of the maxillary sinus, a combination of the two, or a placebo. The duration of the follow-up period was 6 months. The therapeutic effects of the 4 forms of treatment did not differ significantly. Haemophilus influenzae and streptococcus pneumoniae were the micro-organisms encountered most often in these children. The results are discussed.

References (21)

C.P. Kimmelman et al.
Immunodeficiency in pediatric otolaryngology
Am. J. Otolaryngol.
(1979)
K.W. Albegger
Banale Entzündungen der nase und der Nasennebenhöhlen
A. Axelsson et al.
The correlation between bacteriological findings in the nose and maxillary sinus in acute maxillary sinusitis
Laryngoscope
(1973)
A. Axelsson et al.
Treatment of acute maxillary sinusitis. A comparison of four different methods
Acta Otolaryngol
(1970)
F. Bläker
Sinusitis im Kindesalter aus pädiatrisch-immunologischer Sicht
Z. Hals-, Nasen-Ohrenheilkd.
(1980)
P.van Cauwenberge et al.
The importance of the anaerobic bacteria in paranasal sinusitis
Rhinology
(1975)
E. Dubbert
Diagnose und Therapie der Sinusitis im frühen Kindesalter
Ther. Gegew.
(1976)
J. Frederick et al.
Anaerobic infection of the paranasal sinuses
N. Engl. J. Med.
(1974)
C.T. Furukawa et al.
Children with sinusitis
Pediatrics
(1983)
J.J. Grote et al.
Middle ear effusion and sinusitis
J. Laryngol. Otol.
(1980)

There are more references available in the full text version of this article.

Cited by (65)

The management of paediatric rhinosinusitis
2021, International Journal of Pediatric Otorhinolaryngology
Paediatric rhinosinusitis (PDRS) is commonly used as a synonym for rhinitis within healthcare. Although they may share common symptoms, the pathophysiology does differ; PDRS is the inflammation of the nasal mucosa in addition to the sinuses whereas rhinitis is the inflammation of just nasal mucosa. This review provides a comprehensive overview of the epidemiology, pathophysiology, symptoms, diagnosis and management of PDRS. There is a greater emphasis on the diagnosis and management of PDRS within this review due to a lack of clear guidelines, which can lead to the common misconception that PDRS can be treated indifferently to rhinitis and other upper respiratory conditions. PDRS has detrimental effects on children's current health, long-term health into adulthood and education. Therefore, having a comprehensive guide of PDRS would provide a greater understanding of the condition as well as improved diagnosis and management. This article primarily focuses on the position of Europe and the United Kingdom; however, the recommendations can be applied to other countries as the causes and treatments would not differ significantly.
Pediatric Chronic Rhinosinusitis
2021, Cummings Pediatric Otolaryngology
Background: Chronic rhinosinusitis (CRS) in children is a relatively common entity with significant negative effect on quality of life and significant utilization of health care resources.
Methods: This textbook chapter is an exhaustive up-to-date review of CRS in children including latest information about pathophysiologic factors, associated comorbidities, and medical and surgical management.
Results: CRS in children is an inflammatory disease with an increase in eosinophils, neutrophils, and lymphocytes in the sinus mucosa. Bacterial infection probably contributes to the pathophysiology of the disease, and there is emerging evidence to support the contribution of bacterial biofilms. Unlike adult CRS, the adenoids play an important role in children and probably act as a bacterial reservoir that contributes to CRS. Several comorbidities are associated with CRS to different extents, and they include allergic rhinitis, immune deficiencies, primary ciliary dyskinesia, cystic fibrosis, and allergic fungal sinusitis. Mainstay of therapy is medical and includes nasal saline irrigations, intranasal steroids, and antibiotics. Surgical therapy is reserved to medical failures and includes adenoidectomy, sinus irrigation, and functional endoscopic sinus surgery.
Conclusions: CRS is encountered by pediatricians, allergists, otolaryngologists, and infectious disease specialists. We present a comprehensive review of clinical disease and an evidence-based review of diagnosis, and medical and surgical management strategies.
Sinusitis
2016, Pediatric Allergy: Principles and Practice: Third Edition
Diagnosis and management of rhinosinusitis: A practice parameter update
2014, Annals of Allergy, Asthma and Immunology
Citation Excerpt :
There is no good evidence in the literature to support the use of antibiotics for the treatment of CRS in children. Otten and Grote409 investigated 141 children 3 to 10 years of age with CRS as defined by purulent nasal drainage lasting at least 3 months, signs of purulent rhinitis at rhinoscopy, and unilateral or bilateral abnormalities of the maxillary sinus on plain films. The patients were assigned non-selectively to receive 1 of the following 4 treatments for 10 days: saline nose drops (placebo), xylometazoline 0.5% nose drops with 250 mg of amoxicillin orally 3 times daily, drainage of the maxillary sinus under anesthesia and irrigation through an indwelling catheter for at least 5 days, and a combination of drainage and irrigation with xylometazoline and amoxicillin.
Pediatric Chronic Rhinosinusitis
2014, Cummings Pediatric Otolaryngology
Non-typeable Haemophilus influenzae, an under-recognised pathogen
2014, The Lancet Infectious Diseases
Citation Excerpt :
Bacterial sinusitis is a common complication of childhood viral infection of the upper respiratory tract, and the fifth most common diagnosis for which antibiotics are prescribed in children in the USA.71 In children with chronic sinusitis, S pneumoniae and H influenzae predominate.72 Introduction of Prevenar in the USA led to an increase in the proportion of nasopharyngeal NTHi colonisation in children with sinusitis, from 25% in 1997 to 41% in 2005.38
Non-typeable Haemophilus influenzae (NTHi) is a major cause of mucosal infections such as otitis media, sinusitis, conjunctivitis, and exacerbations of chronic obstructive pulmonary disease. In some regions, a strong causal relation links this pathogen with infections of the lower respiratory tract. In the past 20 years, a steady but constant increase has occurred in invasive NTHi worldwide, with perinatal infants, young children, and elderly people most at risk. Individuals with underlying comorbidities are most susceptible and infection is associated with high mortality. β-lactamase production is the predominant mechanism of resistance. However, the emergence and spread of β-lactamase-negative ampicillin-resistant strains in many regions of the world is of substantial concern, potentially necessitating changes to antibiotic treatment guidelines for community-acquired infections of the upper and lower respiratory tract and potentially increasing morbidity associated with invasive NTHi infections. Standardised surveillance protocols and typing methodologies to monitor this emerging pathogen should be implemented. International scientific organisations need to raise the profile of NTHi and to document the pathobiology of this microbe.

View all citing articles on Scopus

View full text

Research paperTreatment of chronic maxillary sinusitis in children

Abstract

Am. J. Otolaryngol.

Banale Entzündungen der nase und der Nasennebenhöhlen

The correlation between bacteriological findings in the nose and maxillary sinus in acute maxillary sinusitis

Laryngoscope

Treatment of acute maxillary sinusitis. A comparison of four different methods

Acta Otolaryngol

Sinusitis im Kindesalter aus pädiatrisch-immunologischer Sicht

Z. Hals-, Nasen-Ohrenheilkd.

The importance of the anaerobic bacteria in paranasal sinusitis

Rhinology

Diagnose und Therapie der Sinusitis im frühen Kindesalter

Ther. Gegew.

Anaerobic infection of the paranasal sinuses

N. Engl. J. Med.

Children with sinusitis

Pediatrics

Middle ear effusion and sinusitis

J. Laryngol. Otol.

Research paper
Treatment of chronic maxillary sinusitis in children